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NABIL BASHA, M. D., P.S.C.

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Company Details

Name: NABIL BASHA, M. D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 08 Dec 1980 (45 years ago)
Organization Date: 08 Dec 1980 (45 years ago)
Last Annual Report: 07 Apr 2008 (17 years ago)
Organization Number: 0152004
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 9310 WIMBLEY COURT, LOUISVILLE, KY 40241
Place of Formation: KENTUCKY
Authorized Shares: 100

Director

Name Role
NABIL BASHA, M. D. Director
Nabil Basha Director

Incorporator

Name Role
NABIL BASHA, M. D. Incorporator

Signature

Name Role
NABIL BASHA Signature

Sole Officer

Name Role
Nabil Basha Sole Officer

Registered Agent

Name Role
NABIL BASHA, M. D. Registered Agent

Shareholder

Name Role
Nabil Basha Shareholder

National Provider Identifier

NPI Number:
1417170424

Authorized Person:

Name:
NABIL BASHA
Role:
PRESIDENT AND SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2086H0002X - Hospice and Palliative Medicine (Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
6067893035

Filings

Name File Date
Administrative Dissolution Return 2009-11-16
Administrative Dissolution 2009-11-03
Annual Report 2008-04-07
Principal Office Address Change 2008-03-13
Annual Report 2007-02-28

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Sources: Kentucky Secretary of State